Order Form Calendar Website - PDF

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Order Form Calendar Website - PDF Powered By Docstoc
					                                      IMPORTANT! THIS FORM MUST BE COMPLETED CLEARLY
                                                  READ CAREFULLY AND FILL IN COMPLETELY
                                                      DO NOT REMOVE STUB FROM SET

REQUISITION - TRAVELERS 2010 CURRIER & IVES CALENDARS
                                                                                 INSTRUCTIONS
1.   Please print complete shipping address, including Zip Code.                                6. Mail check and remaining copies to L.P. MacAdams.
2.   DO NOT Use P.O. Box or R.F.D. Numbers.                                                        Use the mailing label below or fold on dotted line to fit into #10 window envelope.
3.   The prices of calendars and labels are listed below.                                       7. Requisition Number is for this order only. Do Not Duplicate.
4.   Make check payable to: L.P. MacAdams.                                                                                                           ↓



                                                             2010
5.   After completing the order form, detach last                                                          DATE OF ORDER
     copy and retain for your files.                                                                   (Mo.)      (Day)        (Yr.)




CALENDAR ORDER
QUANTITY:
Calendar orders exceeding 9,
MUST ORDER in multiples of 10.
                                        LOGO THAT
QUANTITY ORDERED:                       WILL APPEAR ON
COST:                                   YOUR CALENDAR:
1 to 9 @ $6.00 each.
10 to 100 @ $4.25 each.
110 & above @ $4.00 each.
Reminder: Calendar orders exceeding                                                                   SALES TAX                           TOTAL COST OF CALENDARS
9 must order in multiples of 10.               Important - For shipments to CT add 6% tax.
COST: $                                                                                               $                                   $




LABEL ORDER
QUANTITY:                                                                                             CUSTOMIZED LABELS
Minimum order is 1,000.                                                                               AGENT NAME ____________________________________________________________
Additional quantities MUST
ORDER in multiples of 1,000.             HEADING THAT                                                 AGENCY ________________________________________________________________
                                         WILL APPEAR ON       “Representing Travelers”
QUANTITY ORDERED:                        YOUR LABELS:                                                 ADDRESS ______________________________________________________________
                                                                                                      CITY,STATE,ZIP __________________________________________________________
COST:
1,000 @ $45.00                                                                                        PHONE ________________________________________________________________
Reminder: Labels must
order in multiples of 1,000.                                                                          SALES TAX                           TOTAL COST OF LABELS
                                               Important - For shipments to CT add 6% tax.
COST: $                                                                                               $                                   $

                                                                                                                                          TOTAL AMOUNT OF CHECK
                                                                                                                                          $




                                                  (Fold on dotted line to fit into #10 window envelope.)


     SHIPPING INFORMATION:                     q RESIDENCE     q BUSINESS


 COMPANY ______________________________________________________________________ REQUESTOR’S NAME ______________________________________________________________


 ATTENTION ____________________________________________________________________ PHONE NUMBER __________________________________________________________________


 STREET (NO P.O. BOX) __________________________________________________________ EMAIL       __________________________________________________________________________


 CITY, STATE, ZIP ________________________________________________________________



                      Detach the LAST COPY ONLY ("AGENT'S COPY") in this set and retain for your files.
                                       L.P. MacADAMS
                                       50 Austin Street
                                       P.O. Box 5540
                                       Bridgeport, CT 06610-0540
                                       Attn: Rose Bertanza
                                       (203) 366-3647 ext. 213
 M-7148 REV. 8/09 PRINTED IN U.S.A.

				
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Description: Order Form Calendar Website document sample